Mr. Michael Joseph Russell, MAMFT, INTERN
Mr. Michael Joseph Russell, MAMFT, INTERN is a Marriage & Family Therapist in Fullerton, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
211 W Commonwealth AveFullerton, CA 92832-1810
Phone: (714) 447-7000
Fax: (714) 447-7003
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence IMF 45505 (CA) |
|---|
Record details
| NPI number | 1639269400 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MAMFT , INTERN |
| Sole proprietor | No |
| NPI enumerated | October 13, 2006 |
| Last updated in NPPES | July 8, 2007 |
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